Member Application Business Information Company Name: * Phone: * Email: * Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information First Name: * Last Name: * Phone: * Cell Phone: Email: * Contact Preference: Email Phone Membership Options Membership Package: * 1-5 Employees: $249.00 6-15 Employees: $275.00 16-35 Employees: $328.00 36-65 Employees: $421.00 66-100 Employees: $513.00 101 Plus Employees: $632.00 2nd Membership: $185.00 Individuals whose firm hold a membership may join as a 2nd Membership. (REALTORS, Mortgage Agents, Hair Stylists, Insurance Agents, Etc.) Homebased Business (Zero Employees): $195.00 Must have zero (0) employees Must not have an office outside of the home Individual/Non-Business: $91.00 Non-Profit/Church: $157.00 Non-Profit (501C3), Church, Service Club. etc. Bronze President Circle Membership: $1,250.00 Please see Chamber for more information Silver President Circle Membership: $2,500.00 Please see the Chamber for more information Gold President Circle Membership: $5,000.00 Please see the Chamber for more information Platinum President Circle Membership: $10,000.00 Please see the Chamber for more information Advertising Packages: Additional Opportunities: We will contact you with additional information. Homepage Banner Ad : $1,080.00 Header Package (Chamber, ShopGlendora, ShopGlendora App, and Chamber App., etc.) $100 / Mo. or (10% if prepay for a year) Directory Package : $1,296.00 Directory Package (Chamber, GCN, ShopGlendora, ShopGlendora App, and Chamber App.) $120 / Mo (10% if prepay for a year) Payment Option: Bill me Charge my credit or debit card In the effort to fight spam, please provide the answer to the following question. What is the sum of 7 plus 8?: * Print Application
